activity
20232026
most citedBeyond Simulations: What 20,000 Real Conversations Reveal About Mental Health AI Safety

2 citations · 4 across the 11 of their papers we have counts for

collaborators

12 papers

cs.CL2026

Optimizing Sparse Outcomes Through Dense Behavioral Signals via Value-Guided Preference Distillation

Ziyi Zhu, Daniel R. Cahn, Thomas D. Hull +4

Aligning multi-turn dialogue agents is usually framed as matching turn-level human preferences, yet direct optimization of long-term outcomes is often ineffective and prone to rewa…

cs.HC2026

Healthcare Utilization, Chronic Condition Management, and Workplace Functioning Among Users of a Purpose-Built Mental Health AI (Ash): Cross-Sectional Study

Kristen M. Van Swearingen, Thomas D. Hull, Jeffrey Swigert +1

Mental health challenges can exacerbate physical symptoms and complicate management of chronic conditions. Purpose-built artificial intelligence (AI) tools may offer scalable suppo…

cs.HC2026

Engagement Phenotypes for a Sample of 102,684 AI Mental Health Chatbot Users and Dose-Response Associations with Clinical Outcomes

Emma C. Wolfe, Ting Su, Olivier Tieleman +3

Background: Conversational AI chatbots are emerging as scalable mental health tools, but little is known about real world engagement or its relationship to clinical outcomes. Objec…

cs.HC2026

Functional outcomes and naturalistic engagement with a purpose-built conversational AI for mental health (Ash)

Kristen M. Van Swearingen, Thomas D. Hull, Karthik V. Sarma +1

Background: Conversational AI chatbots designed for mental health may offer an accessible, scalable avenue for supporting psychological well-being, yet prior evaluations have large…

cs.CL2026

Fine-tuning LLMs for Passive Depression Severity Estimation from AI Mental Health Dialogue

Olivier Tieleman, Ziyi Zhu, Ting Su +3

Depression is the leading cause of disability worldwide, and early detection of symptom change is essential for timely intervention. Validated instruments such as the Patient Healt…

cs.HC2026

Talking to a Human as an Attitudinal Barrier: A Mixed Methods Evaluation of Stigma, Access, and the Appeal of AI Mental Health Support

Caitlin A. Stamatis, Emma C. Wolfe, Matteo Malgaroli +1

Background: Many people who could benefit from therapy do not receive it. Conversational AI is increasingly used for mental health support, yet it is unclear which barriers AI help…

cs.CL2026

Language Markers of Emotion Flexibility Predict Depression and Anxiety Treatment Outcomes

Benjamin Brindle, George A. Bonanno, Thomas Derrick Hull +2

Predicting treatment non-response for anxiety and depression is challenging, in part because of sparse symptom assessments in real-world care. We examined whether passively capture…

cs.CY2026★ 2 cited

Beyond Simulations: What 20,000 Real Conversations Reveal About Mental Health AI Safety

Caitlin A. Stamatis, Jonah Meyerhoff, Richard Zhang +3

Mental-health AI safety is typically evaluated with small, simulation-based benchmarks that may not reflect the linguistic and contextual diversity of deployment. We pair four benc…

cs.CL2025

DIAL: Direct Iterative Adversarial Learning for Realistic Multi-Turn Dialogue Simulation

Ziyi Zhu, Olivier Tieleman, Caitlin A. Stamatis +5

Realistic user simulation is crucial for training and evaluating multi-turn dialogue systems, yet creating simulators that accurately replicate human behavior remains a significant…

cs.CY2025★ 2 cited

Generative AI Purpose-built for Social and Mental Health: A Real-World Pilot

Thomas D. Hull, Lizhe Zhang, Caitlin A. Stamatis +2

Generative AI chatbots built for mental health could extend access to care, but evidence from real-world use is limited. We report a single-arm, naturalistic pilot of a foundation…

stat.AP2024

VISTA-SSM: Varying and Irregular Sampling Time-series Analysis via State Space Models

Benjamin Brindle, Thomas Derrick Hull, Matteo Malgaroli +1

We introduce VISTA, a clustering approach for multivariate and irregularly sampled time series based on a parametric state space mixture model. VISTA is specifically designed for t…

cs.CL2023

Deep Representations of First-person Pronouns for Prediction of Depression Symptom Severity

Xinyang Ren, Hannah A Burkhardt, Patricia A Areán +2

Prior work has shown that analyzing the use of first-person singular pronouns can provide insight into individuals' mental status, especially depression symptom severity. These fin…